This is the first study where BAY1125976 is given to humans. Patients (all comers) will receive the study drug treatment in a dose-escalation scheme (no placebo group) to determine the safety, tolerability and maximum tolerated dose (MTD) of BAY1125976. The relative bioavailability of liquid service formulation and tablets will be determined. After the MTD is defined breast cancer patients with and without AKT1 mutation will be treated. The study will also assess the pharmacokinetics, biomarker status, pharmacodynamic parameters and tumor response of BAY1125976. BAY1125976 will be given daily as single oral application. Treatment will be stopped if the tumor continues to grow, if side effects, which the patient cannot tolerate, occur or if the patient decides to exit treatment.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
79
Oral administration once daily. Starting dose is 10 mg and will be escalated depending on any dose-limiting toxicities
Oral administration twice daily. Starting dose is 40mg twice daily and will be escalated depending on any dose-limiting toxicities
Oral administration of the defined MTD which shows optimal safety, PK profile, PD target inhibition and preliminary efficacy (once daily or twice daily) in different patient groups
Unnamed facility
Santa Monica, California, United States
Unnamed facility
Boston, Massachusetts, United States
Unnamed facility
St Louis, Missouri, United States
Unnamed facility
Houston, Texas, United States
Unnamed facility
Villejuif, France
Unnamed facility
Heidelberg, Baden-Wurttemberg, Germany
Unnamed facility
Sankt Gallen, Canton of St. Gallen, Switzerland
Number of participants with adverse events as a measure of safety and tolerability
Time frame: up to 2 years
Maximum tolerated dose (MTD) of BAY1125976
Time frame: up to 2 years
Area under the plasma concentration vs time curve from zero to infinity after single (first) dose
Time frame: at pre-dose and 0.5, 1, 2, 4, 6, 8, 12 and 24 hours post-dose
Food effect assessment
The effect of a high-fat, high-calorie meal on the pharmacokinetic parameters of BAY1125976 will be determined in 6 - 9 subjects in the MTD dose level or a lower dose level receiving the tablet for the cohort of the dose escalation part.
Time frame: up to 2 years
Tumor response will be evaluated based on Response Evaluation Criteria in Solid Tumors (RECIST) definitions
Time frame: up to 2 years
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